CMS Quality Reporting and Value-Based Programs & Initiatives
As the largest payer of health care services in the United States, CMS continuously seeks ways to improve the quality of health care. CMS manages quality programs that address many different areas of health care. These programs encourage improvement of quality through payment incentives, payment reductions, and reporting information on health care quality on government websites.
Here are examples of quality reporting and value-based payment programs and initiatives.
- Ambulatory Surgical Center Quality Reporting (ASCQR)
- Appropriate Use Criteria Program
- Comprehensive Primary Care Plus (CPC+)
- End-Stage Renal Disease Quality Incentive Program (ESRD QIP)
- Health Insurance Marketplace Quality Initiatives
- Home Health Quality Reporting Program
- Home Health Value-Based Purchasing (HHVBP)
- Hospice Quality Reporting
- Hospital Acquired Condition Reduction Program (HACRP)
- Hospital Inpatient Quality Reporting (IQR)
- Hospital Outpatient Quality Reporting (OQR)
- Hospital Readmissions Reduction Program (HRRP)
- Hospital Value-Based Purchasing (VBP) Program
- Innovation Center (CMMI) Models
- Inpatient Psychiatric Facility Quality Reporting (IPFQR)
- Inpatient Rehabilitation Facility (IRF) Quality Reporting
- Long-Term Care Hospital Quality Reporting (LTCHQR)
- Medicaid-related programs
- Medicare Advantage Quality Improvement Program
- Medicare Parts C and D
- Medicare Promoting Interoperability: Eligible Hospitals and Critical Access Hospitals
- Medicare Shared Savings Program
- Nursing Home Quality Initiative
- Program of All-Inclusive Care for the Elderly (PACE)
- Prospective Payment System-Exempt Cancer Hospital Quality Reporting (PCHQR)
- Quality Improvement Organizations
- Quality Payment Program (QPP)
- Skilled Nursing Facility Quality Reporting (SNFQR)
- Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program
Compare Sites
CMS created the Care Compare website to allow consumers to compare health care providers based on quality and other information and to make more informed choices when choosing a health care provider. Users of the site can compare providers in several categories of care settings.
- Dialysis Facilities
- Home Health Services
- Hospice care
- Hospitals
- Inpatient Rehabilitation Facilities
- Long-Term Care Hospitals
- Nursing Homes including Rehab Services
- Physicians & Clinicians
- Medical Equipment & Suppliers
Last Updated: